Basic Information
| Provider Information | |||||||||
| NPI: | 1013123215 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADVOCATES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 CLARKS HL | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017028172 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 17 WARREN AVE | ||||||||
| Address2: | |||||||||
| City: | WOBURN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018014936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086286300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2007 | ||||||||
| LastUpdateDate: | 10/31/2007 | ||||||||
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| AuthorizedOfficialLastName: | MILLS | ||||||||
| AuthorizedOfficialFirstName: | JIM | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 5086286300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320700000X | Y | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities |
ID Information
| ID | Type | State | Issuer | Description | 1906666 | 05 | MA | MEDICAID |